Organization
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Active
Other names
The Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN LAW DDS, PHD (PRESIDENT)
(651) 633-0500
Entity
Organization
Contact information
Practice address
9325 UPLAND LN N, SUITE 330, MAPLE GROVE, MN 55369-4200
(763) 416-0037
Mailing address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113-2550
(651) 633-0500
(651) 636-6350
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
12/24/2008
Last updated
10/28/2020
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